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Studiju programma
Supervisor
Jeļena Vrubļevska

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:27.08.2019
Study Course Information
Course Code:PUNK_021LQF level:Level 6
Credit Points:2.00ECTS:3.00
Branch of Science:Medicine; PsychiatryTarget Audience:Rehabilitation
Study Course Supervisor
Course Supervisor:Jeļena Vrubļevska
Study Course Implementer
Structural Unit:Department of Psychiatry and Narcology
The Head of Structural Unit:Elmārs Rancāns
Contacts:Rīga, Tvaika iela 2, pnkatrsu[pnkts]lv, pnkatrsu[pnkts]lv, +371 67080131
Study Course Planning
Full-Time - 1. Semester No.
Part-Time - 1. Semester No.
Lectures (number)Lecture Length (academic hours)Total Contact Hours of Lectures
Classes (number)8Class Length (academic hours)5Total Contact Hours of Classes40
Total Contact Hours40
Study course description
Preliminary Knowledge:
• Psychology. • Public health. • Basics of healthy nutrition. • Basics of clinical care (deontology, iatrogenic factors, patient's interviewing and clinical assessment methods).
Objective:
To provide knowledge of clinical manifestations, prevention and treatment principles (on the individual and populational level) of the main groups of mental disorders – organic mental disorders, psychoactive substance misuse, schizophrenia and other schizophrenia spectrum disorders, personality disorders, developmental disorders, neurotic and somatoform disorders. To give knowledge about neurotic anorexia, neurotic bulimia and other eating disorders, about their distinctive features in endogenous psychoses, their clinical features and treatment methods (psychological, social, educational, pharmacological, including long-term psychosocial and maintenance pharmacotherapy methods). Aim: students are able to obtain professional and ethical responsibility in using contemporary scientific resources, The European Union (EU) normative acts and The World Health Organization (WHO) recommendations in their clinical work and understand the principles of public mental health and its use in their speciality. Within obtained competency, students are able to promote healthy lifestyle and healthy nutrition principles in children, adolescents and adults population.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Classification, diagnosis and epidemiology of mental disorders. The structure of mental health care in Latvia and in the world, medical legislation and legal aspects. General psychopathology. Disorders of perception and thinking. Obsessions and compulsions, affective disorders, memory disorders, disorders of volition and motor functions. Impulsive actions and inclinations (pyromania, kleptomania, addiction to gambling, etc.). States of clouded conditions.Classes1.00clinical base
2Schizophrenia and related disorders (persistent delusional disorder, schizoaffective disoreder, acute polimorf psychotic disoreder, schizotypal disoredr). • Classification and epidemiology of schizophrenia and other psychotic disorders. • Positive, negative, cognitive and affective symptoms of schizophrenia. Diagnostic criteria, clinical features and main forms of schizophrenia: o Paranoid o Hebephrenic o Catatonic o Residual o Simple • Organization of medical care, basic principles of treatmentClasses1.00clinical base
3Organic, including symptomatic, mental disorders. Aetiology and pathogenesis. Alzheimer’s dementia, vascular dementia, Pick’s dementia. Huntington dementia, AIDS dementia – clinical features and basic principles of diagnostics and differential diagnosis. Therapy and help to the patients. Organic amnestic syndrome – basic principles of diagnostics and therapy. Clinical picture of delirium that is not due to alcohol or other psychoactive substances – basic principles of diagnostics and therapy.Classes1.00clinical base
4Clinical features and treatment of mood (affective) disorders • Classification of emotions • Symptoms of mood (affective) disorders. Affective triad. • Core symptoms of different kinds of depressions (organic, reactive, endogenous) • Depressive episode: mild moderate, severe, severe depression with psychotic symptoms according to ICD-10. The concept of the term “somatic syndrome” • Bipolar affective disorder • Treatment of mood disorders.Classes1.00clinical base
5Neurotic, stress related and somatoform disorders. Aetiology of neurosis Stages of crisis reaction, spectrum of anxiety – pathology and normality. Anxiety and phobic disorders. Aetiology, epidemiology, clinical features • Generalized anxiety disorder • Panic disorder • Agoraphobia • Specific phobias • Social phobia Stress related disorders. Aetiology, epidemiology, clinical features • Acute reaction to stress • Post traumatic stress disorder • Adjustment disorders Aetiology, epidemiology.Classes1.00clinical base
6Disorders of adult personality and behaviour. Behavioural syndromes associated with physiological disturbances and physical factors. Prerequisites of harmonic personality development. Concept of personality disorders. Causes and risk factors. Types of personality disorders. Prophylaxis and treatment. Eating disorders: anorexia nervosa. Atypical anorexia nervosa. Bulimia nervosa. Atypical bulimia nervosa. Aetiology, clinical presentations, treatment.Classes1.00clinical base
7Mental retardation. Disorders of psychological development, behavioural and emotional disorders with onset usually occurring in childhood and adolescence.Classes1.00clinical base
8Mental and behavioural disorders due to psychoactive substance use.Classes1.00clinical base
Topic Layout (Part-Time)
No.TopicType of ImplementationNumberVenue
1Classification, diagnosis and epidemiology of mental disorders. The structure of mental health care in Latvia and in the world, medical legislation and legal aspects. General psychopathology. Disorders of perception and thinking. Obsessions and compulsions, affective disorders, memory disorders, disorders of volition and motor functions. Impulsive actions and inclinations (pyromania, kleptomania, addiction to gambling, etc.). States of clouded conditions.Classes1.00clinical base
2Schizophrenia and related disorders (persistent delusional disorder, schizoaffective disoreder, acute polimorf psychotic disoreder, schizotypal disoredr). • Classification and epidemiology of schizophrenia and other psychotic disorders. • Positive, negative, cognitive and affective symptoms of schizophrenia. Diagnostic criteria, clinical features and main forms of schizophrenia: o Paranoid o Hebephrenic o Catatonic o Residual o Simple • Organization of medical care, basic principles of treatmentClasses1.00clinical base
3Organic, including symptomatic, mental disorders. Aetiology and pathogenesis. Alzheimer’s dementia, vascular dementia, Pick’s dementia. Huntington dementia, AIDS dementia – clinical features and basic principles of diagnostics and differential diagnosis. Therapy and help to the patients. Organic amnestic syndrome – basic principles of diagnostics and therapy. Clinical picture of delirium that is not due to alcohol or other psychoactive substances – basic principles of diagnostics and therapy.Classes1.00clinical base
4Clinical features and treatment of mood (affective) disorders • Classification of emotions • Symptoms of mood (affective) disorders. Affective triad. • Core symptoms of different kinds of depressions (organic, reactive, endogenous) • Depressive episode: mild moderate, severe, severe depression with psychotic symptoms according to ICD-10. The concept of the term “somatic syndrome” • Bipolar affective disorder • Treatment of mood disorders.Classes1.00clinical base
5Neurotic, stress related and somatoform disorders. Aetiology of neurosis Stages of crisis reaction, spectrum of anxiety – pathology and normality. Anxiety and phobic disorders. Aetiology, epidemiology, clinical features • Generalized anxiety disorder • Panic disorder • Agoraphobia • Specific phobias • Social phobia Stress related disorders. Aetiology, epidemiology, clinical features • Acute reaction to stress • Post traumatic stress disorder • Adjustment disorders Aetiology, epidemiology.Classes1.00clinical base
6Disorders of adult personality and behaviour. Behavioural syndromes associated with physiological disturbances and physical factors. Prerequisites of harmonic personality development. Concept of personality disorders. Causes and risk factors. Types of personality disorders. Prophylaxis and treatment. Eating disorders: anorexia nervosa. Atypical anorexia nervosa. Bulimia nervosa. Atypical bulimia nervosa. Aetiology, clinical presentations, treatment.Classes1.00clinical base
7Mental retardation. Disorders of psychological development, behavioural and emotional disorders with onset usually occurring in childhood and adolescence.Classes1.00clinical base
8Mental and behavioural disorders due to psychoactive substance use.Classes1.00clinical base
Assessment
Unaided Work:
Students independently have to prepare theoretical part of practical classes on the basis of RSU e-materials and recommended literature. Results of this work will be discussed in groups and checked with special multiple choice tests. During practical classes students will be expected to assess the mental state of demonstrated patients, and will be discussed it in groups.
Assessment Criteria:
Case description, multiple choice questions, oral examination.
Final Examination (Full-Time):
Final Examination (Part-Time):Exam (Oral)
Learning Outcomes
Knowledge:Students are aware about the organization of Latvian mental health care system. Have understanding in diagnoses of mental and behavioural disorders (according to the ICD10 diagnostic criteria). Have an ability in clinical thinking, analysing and understanding relations between different disciplines in the field of psychology, public health and healthy nutrition.
Skills:Can independently diagnose the symptoms and syndromes of mental and behavioral disorders. Can make clinical decisions and differentiate organic and symptomatic mental disorders, affective and schizophrenia spectrum disorders and eating disorders with and without psychotic origin. Can recognise and describe the signs of anorexia and bulimia, are aware of additional clinical investigations, indications of consultations of such specialists as endocrinologist, cardiologist, gastroenterologist. Can educate and give professional advice to patients and their family members about the basics of healthy nutrition, and therapeutic options based on the principles of a multifunctional team, involving child and adolescent psychiatrists, psychotherapists, psychologists and nutrition specialists in order to achieve a stable and long-term remission.
Competencies:Can independently plan therapeutic options of eating disorders, and take responsibility for an effective and long-term care, treatment and rehabilitation of these disorders in order to reach long-term, stable remission. Are confident in understanding and using the evidence-based approach, and are familiar with contemporary EU normative acts in public health, and WHO recommendations that regulate professional activity. Can use the relevant professional information resources and maintain continuous education. According to competency can perform popularization of healthy nutrition and healthy lifestyle in children, adolescents, and adults.
Bibliography
No.Reference
1Semple David, Smyth Roger. Oxford Handbook of Psychiatry, Third edition, 2013. Oxford University Press
2E-grāmatas
3Harrison, Paul Geddes, John Sharpe, Michael Lecture Notes : Lecture Notes : Psychiatry (10th Edition). Wiley-Blackwell, Hoboken, NJ, USA, 2011 http://site.ebrary.com/lib/rsub/docDetail.action?docID=1051…
1Elmārs Tērauds, Elmārs Rancāns, Raisa Andrēziņa, Biruta Kupča, Iveta Ķiece, Inga Zārde, Ņikita Bezborodovs. Depresijas Diagnostikas un ārstēšanas vadlīnijas. 3. izdevums. Latvijas Psihiatru asociācija, 2015.
2Elmārs Tērauds, Elmārs Rancāns, Raisa Andrēziņa, Biruta Kupča, Gunta Ancāne, Iveta Ķiece, Ņikita Bezborodovs. Šizofrēnijas diagnostikas un ārstēšanas vadlīnijas. 3. izdevums. Latvijas Psihiatru asociācija, 2014.
3Rancāns E., Tērauds E., Zaļkalns J., Riževa I., Tirāns E., Taube M. Depresijas un neirotisko traucējumu diagnostikas un ārstēšanas rekomendācijas ģimenes ārstiem. RSU Psihiatrijas un narkoloģijas katedra. Rīga, 2012.g. 32 lpp. (elektroniska kopija atrodama www.estudijas.rsu.lv)
4Raisa Andrēziņa, Elmārs Tērauds, Laura Ķevere, Ņikita Bezborodovs. Uzmanības deficīta un hiperaktivitātes sindroma (UDHS) diagnostikas un korekcijas vadlīnijas bērniem un pusaudžiem. BKUS, RSU Psihiatrijas un narkoloģijas katedra, 2014.
5The ICD-10 Classification of Mental and Behavioral Disorders, World Health Organization, Geneva, 1992. http://site.ebrary.com/lib/rsub/docDetail.action?docID=1022…